ArticlePloS one2013
The revolving door phenomenon revisited: time to readmission in 17’145 [corrected] patients with 37'697 hospitalisations at a German psychiatric hospital.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The revolving door phenomenon in severe psychiatric disorders: A systematic review.The International journal of social psychiatry · 2023Pooled it
- Statistical methods and modelling techniques for analysing hospital readmission of discharged psychiatric patients: a systematic literature review.BMC psychiatry · 2016Pooled it
- Psychiatric readmissions and their association with environmental and health system characteristics: a systematic review of the literature.BMC psychiatry · 2016Pooled it
- Health-related quality of life measures as predictors for recurrent hospitalization and mortality among patients in heroin-assisted treatment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- The Revolving Door Phenomenon in the Romanian Mental Health System.Alpha psychiatry · 2025Article
- Factors associated with unplanned readmissions for patients with mental and behavioural disorders in China: a quantitative analysis.Global health action · 2024Article
- A predictive model for readmission within 1-year post-discharge in patients with schizophrenia.BMC psychiatry · 2024Article
- Reduced prevalence of drug-related problems in psychiatric inpatients after implementation of a pharmacist-supported computerized physician order entry system - a retrospective cohort study.Frontiers in psychiatry · 2024Article
- Lifeboat ethics, risk, and therapeutic opportunity: an appeal for equitable psychedelic therapy access in the "high-risk" addiction patient.Frontiers in psychiatry · 2023Article
- Case report: Successful administration of cariprazine in a young, severely ill patient with recurrent relapses of schizophrenia and persistent negative symptoms.Frontiers in psychiatry · 2023Article
- Determinants of Revolving Door in an Acute Psychiatric Ward for Prison Inmates.Frontiers in psychiatry · 2021Article
- Article
- Needs, Perceived Support, and Hospital Readmissions in Patients with Severe Mental Illness.Community mental health journal · 2018Observational
- A patient perspective on recurrent or prolonged contact with psychiatric inpatient care for affective disorder.International journal of mental health systems · 2018Article
- Like a hotel, but boring: users' experience with short-time community-based residential aftercare.BMC health services research · 2017Article
- Cities and Mental Health.Deutsches Arzteblatt international · 2017Review
- 'Big data' in mental health research: current status and emerging possibilities.Social psychiatry and psychiatric epidemiology · 2016Review
- Predictors of psychiatric rehospitalization among elderly patients.F1000Research · 2015Article
- [Heavy users of inpatient services: a comparison of diagnostic subgroups].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2014Article
- How Do Urban Environments Affect Young People's Mental Health? A Novel Conceptual Framework to Bridge Public Health, Planning, and Neurourbanism.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite the recurring nature of the disease process in many psychiatric patients, individual careers and time to readmission rarely have been analysed by statistical models that incorporate sequence and velocity of recurrent hospitalisations. This study aims at comparing four statistical models specifically designed for recurrent event history analysis and evaluating the potential impact of predictor variables from different sources (patient, treatment process, social environment).
methodThe so called Andersen-Gil counting process model, two variants of the conditional models of Prentice, Williams, and Peterson (gap time model, conditional probability model), and the so called frailty model were applied to a dataset of 17’145 [corrected] patients observed during a 12 years period starting from 1996 and leading to 37’697 psychiatric hospitalisations Potential prognostic factors stem from a standardized patient documentation form.
resultsEstimated regression coefficients over different models were highly similar, but the frailty model best represented the sequentiality of individual treatment careers and differing velocities of disease progression. It also avoided otherwise likely misinterpretations of the impact of gender, partnership, historical time and length of stay. A widespread notion of psychiatric diseases as inevitably chronic and worsening could be rejected. Time in community was found to increase over historical time for all patients. Most important protective factors beyond diagnosis were employment, partnership, and sheltered living situation. Risky conditions were urban living and a concurrent substance use disorder.
conclusionPrognostic factors for course of diseases should be determined only by statistical models capable of adequately incorporating the recurrent nature of psychiatric illnesses.
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